What should be the primary focus of nutrition care for a man with hypertension and a BMI of 32?

The primary focus of nutrition care for a man with hypertension and a BMI of 32 should be to decrease caloric intake. This approach is essential because, in individuals with obesity, such as this man with a BMI of 32, weight loss can significantly improve blood pressure control and overall health. Overweight and obesity are key risk factors for hypertension, so addressing caloric intake is crucial for promoting weight loss, which in turn can lead to reductions in blood pressure.

Additionally, while other dietary changes, such as decreasing sodium intake or increasing potassium and calcium intake, are important components of managing hypertension, they do not target the underlying issue of obesity. Reducing overall caloric intake helps facilitate weight loss and can also contribute to improved dietary patterns, including potentially reducing sodium intake naturally as the individual focuses on healthier, lower-calorie foods.